JEREMY SUKWON KIM DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074487

License Status

EXPIRED

Business

Title

First Name

JEREMY

Middle

SUKWON

Last Name

KIM

Business Name

JEREMY SUKWON KIM DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

07/12/2020

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/19/2020